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Spine - Case 53 (3rd ed)
Spine - Case 53 (3rd ed)
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Pdf Summary
The provided document contains two study cases focusing on spinal injuries and treatment options. <strong>Study Question #1</strong>: A 23-year-old snowboarder experienced a T12 compression fracture after a fall. While neurologically intact, the standard plain film radiograph used initially may not fully assess the fracture's nature, which could be misunderstood as simple compression, potentially missing critical factors like burst fractures. The correct course of action is to obtain a CT scan (Option A) to gather more diagnostic information and better assess the fracture. Depending on the results, further steps may involve using a TLSO brace or considering surgical options. <strong>Key Points</strong>: - CT scans provide detailed insights that plain radiographs cannot, especially for identifying burst fractures. - Stability evaluation of the fracture is crucial before deciding the treatment plan. - Incorrectly choosing a treatment could lead to inappropriate management of the fracture, emphasizing the importance of an accurate initial diagnosis. <strong>Study Question #2</strong>: A female college volleyball player seeks clearance to return to play four weeks after a cervical neck sprain. The injury initially presented with limited range of motion and muscle spasms, but without neurologic deficits. Present exams, including flexion-extension cervical films, are normal. For her return-to-play evaluation, factors such as pain absence, range of motion, muscle strength, and lack of neurologic deficits are crucial. An MRI (Option A) is deemed unnecessary because her recovery is consistent with expected timelines, and other assessments indicate no ongoing issues. <strong>Key Points</strong>: - Clearance for athletes post-cervical spine injuries hinges on specific criteria: pain absence, normal motion, muscle strength, and neurologic health. - Decisions are highly individualized based on the injury mechanics and recovery progress. - MRI is not routinely needed if the basic criteria for return are met and no complexities arise from prior assessments. References cited guide further understanding of spinal injury management and return-to-play considerations.
Meta Tag
Edition
3rd Edition
Related Case
3rd Edition, CASE 53
Topic
Spine
Keywords
spinal injuries
treatment options
T12 compression fracture
CT scan
TLSO brace
cervical neck sprain
return-to-play evaluation
neurologic deficits
MRI
injury management
3rd Edition
3rd Edition, CASE 53
Spine
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